Member - Greater Riverview Chamber of Commerce, FL

Member Application

As a member of the Greater Riverview Chamber of Commerce, you have Access to the Most POWERFUL, SUCCESSFUL and INFLUENTIAL Business People in Your Community! Select a package that fits your budget and needs best. (Package pricing and details located at the bottom of this page) Custom packages are available. For more information contact the Chamber office by calling (813) 234-5944 or email Director@RiverviewChamber.com. We look forward to working with YOU!
Business Information

Company Name: *

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Phone: *

Website:

Email: *

Business Description (200 char max): *

Directory Category: *

Employees:

Full-time Part-time

Business Keywords (enter a space between words):

Comments / Questions:

Whom May We Thank for Telling You about GRCC:

Business Type:

Membership eligibility is dependent upon verification that the business listed on this application is applicably registered to do business in the state of Florida. i.e. listed on Sunbiz.org or other appropriate authorization. Also, confirmation that no owner or identified representative of the entity seeking membership has, in the 10 years prior to seeking membership, been convicted of or has plead guilty or nolo contendere to charges of a felony or other crime involving financial dishonesty. : *

By submitting this application, the prospective member affirms that the business entity and/or the individual(s) named above seeking membership in the Greater Riverview Chamber of Commerce (1) possess the required license(s) and/or qualifications to transact business as stated in this application and (2) are in good standing with all governmental or professional entities overseeing the field of business identified in this application. I understand that should this information change during the c: *

Meeting Space:

Max seating (mtg space):

Physical Address

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City:

State:

Postal Code:

Country:

Mailing Address

Same as physical address

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City: *

State: *

Postal Code: *

Country: *

Social Networking:

LinkedIn Facebook Twitter You Tube Google+

Primary Contact Information

First Name: *

Last Name: *

Title:

Phone:

Cell Phone:

Email:

Contact Preference:

Email Phone

Login: *

Password: *

Address

Same as Member Address

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City:

State:

Postal Code:

Country:

Billing Contact Information

Same as Primary Contact

First Name: *

Last Name: *

Title:

Phone:

Cell Phone:

Email:

Contact Preference:

Email Phone

Login: *

Password: *

Address

Same as Member Address

Line 1:

Line 2

City:

State:

Postal Code:

Country:

Membership Options

Membership Package: *

Basic Membership Level: $249.00
see "Membership Information" for details ENHANCED Membership: $359.00
see "Membership Information" for details ELITE Membership: $645.00
see "Membership Information" for details TRUSTEE Membership: $5,000.00
see "Membership Information" for details Community Member: $49.00
see "Membership Information" for details. NO business affiliation or promotion with this membership Non-Profit Membership: $99.00
see "Membership Information" for details. ONLY for non-profit organizations with annual income of $50,000 or less. Applicants must provide IRS Form 990-N to qualify for this special membership rate.

Payment Option:

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